| NPI | 1912140310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKEE OMAR SHABAZZ Owner/President 703-865-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300961) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2017-09-13 |